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Providence Health & Services Washington
Nursing Facility/Intermediate Care Facility in Kodiak, Alaska
NPI 1366658858

Providence Health & Services Washington is a Nursing Facility/Intermediate Care Facility based in Kodiak, AK. Providence Health & Services Washington practices in Kodiak, AK. The NPI Number for Providence Health & Services Washington is 1366658858 and holds a License No. 309115 (Alaska).

The current practice location address for Providence Health & Services Washington is 1838 Chichenof St, Kodiak, AK and can be reached out via phone at 907-486-3281.

Location: 1838 Chichenof St, Kodiak, AK, 99615-6602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366658858
Provider Name
Providence Health & Services Washington
Credential
Provider Entity Type
Organization
Address
1838 Chichenof St, Kodiak, AK, 99615-6602
Phone Number
907-486-3281
Fax Number
Provider Enumeration Date
05/14/2007
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HS10LT 05 AK
institution
Provider Business Practice Location Address Details
Address
1838 Chichenof St
City
Kodiak
State
Alaska
Zip
99615-6519
Phone Number
907-486-3281
Fax Number
person
Provider Business Mailing Address Details
Address
1838 Chichenof St
City
Kodiak
State
Alaska
Zip
99615-6519
Phone Number
907-486-3281
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
309115 (Alaska)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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